Individual provider Active NPI

Andrea Lynn Entus, DNP

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1528664372
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9297558 Issued in FL
Practice address
2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone
(305) 898-9707
Fax
(877) 319-1887
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9297558 FL Primary

Addresses

Primary practice location

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (954) 383-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210108002483 FL Practitioner - Nurse Practitioner 8022421197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Domus Care SolutionsGroup PAC ID 7618398033, 4 clinicians

Practice addresses (Care Compare)

2200 N Commerce Pkwy
Suite 200
Weston, FL 33326-3258
Phone (718) 406-4896

Hospital & facility affiliations

  • Absolute Home Care, Inc. Home health agency, Fort Lauderdale, FL, CCN 108107
  • United Care Home Health Services LLC Home health agency, Davie, FL, CCN 109076
  • Complete Home Care of Broward County LLC Home health agency, Fort Lauderdale, FL, CCN 683107
  • Catholic Home Health Services of Broward, Inc. Home health agency, Lauderdale Lakes, FL, CCN 107110
  • Community Home Health Services Home health agency, Fort Lauderdale, FL, CCN 107103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9297558FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Domus Care Solutions CurrentSince Dec 1, 2020 Accepting new patients

Locations

2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGACD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1528664372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "954-383-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "305-898-9707",
            "fax_number": "877-319-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTUS",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9297558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.